Details

Implant Restorations


Implant Restorations

A Step-by-Step Guide
4. Aufl.

von: Carl Drago

154,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 09.12.2019
ISBN/EAN: 9781119538158
Sprache: englisch
Anzahl Seiten: 536

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Beschreibungen

<p>The fourth edition of<i> Implant Restorations: A Step-by-Step Guide </i>provides a wealth of updated and expanded coverage on detailed procedures for restoring dental implants. Focusing on the most common treatment scenarios, it offers concise literature reviews for each chapter and easy-to-follow descriptions of the techniques, along with high-quality clinical photographs demonstrating each step. </p> <p>Comprehensive throughout, this practical guide begins with introductory information on incorporating implant restorative dentistry in clinical practice. It covers diagnosis and treatment planning and digital dentistry, and addresses advances in cone beam computerized tomography (CBCT), treatment planning software, computer generated surgical guides, rapid prototype printing and impression-less implant restorative treatments, intra-oral scanning, laser sintering, and printing/milling polymer materials. Record-keeping, patient compliance, hygiene regimes, and follow-up are also covered. </p> <ul> <li>Provides an accessible step-by-step guide to commonly encountered treatment scenarios, describing procedures and techniques in an easy-to-follow, highly illustrated format</li> <li>Offers new chapters on diagnosis and treatment planning and digital dentistry</li> <li>Covers advances in cone beam computerized tomography (CBCT), computer generated surgical guides, intra-oral scanning, laser sintering, and more </li> </ul> <p>An excellent and accessible guide on a burgeoning subject in modern dental practice by one of its most experienced clinicians, <i>Implant Restorations: A Step-by-Step Guide, Fourth Edition</i> will appeal to prosthodontists, general dentists, implant surgeons, dental students, dental assistants, hygienists, and dental laboratory technicians.</p>
<p>List of Contributors xiii</p> <p>Foreword xv</p> <p>Preface xvii</p> <p>Acknowledgments xix</p> <p><b>1 Introduction to Implant Dentistry </b><b>1</b></p> <p>Introduction 1</p> <p>Purpose of Textbook 1</p> <p>Conventional Dentistry Versus Implant Dentistry 2</p> <p>Predictability of Fixed Prosthodontics 2</p> <p>Predictability of Implant Prosthodontics 3</p> <p>Economics of Implant Dentistry 4</p> <p>Prognostic Indicators for Teeth 5</p> <p>Periodontal Disease 5</p> <p>The Heavily Restored Tooth 6</p> <p>The Furcation-Involved Tooth 8</p> <p>The Periodontal Prosthesis Patient 9</p> <p>Difficult Aesthetic Cases 10</p> <p>Classification of Ridge Defects 12</p> <p>Treatment Prognosis for the Dentition 15</p> <p>Summary 18</p> <p>Bibliography 18</p> <p><b>2 Implants and Implant Restorative Components </b><b>21</b></p> <p>Introduction 21</p> <p>Implants 21</p> <p>Implant/Abutment Connections 25</p> <p>External Implant/Abutment Connections 25</p> <p>Internal Implant/Abutment Connections 27</p> <p>Healing Abutments 30</p> <p>Conventional, Stock Healing Abutments 30</p> <p>CAD/CAM Healing Abutments 32</p> <p>Custom Healing Abutments 34</p> <p>Impression Copings 35</p> <p>Implant Impression Copings 35</p> <p>Pickup Impression Copings (Open Tray) 36</p> <p>Transfer Impression Copings (Closed Tray) 37</p> <p>Low-Profile Conical Abutment Impression Copings 38</p> <p>Scan Bodies 38</p> <p>Abutments 39</p> <p>Low-Profile Conical Abutments (LPCA) 40</p> <p>LOCATOR Overdenture Abutments 41</p> <p>Stock Abutments 42</p> <p>UCLA Abutments 44</p> <p>CAD/CAM Abutments 47</p> <p>Milled Titanium 47</p> <p>Milled Zirconia 50</p> <p>Multiunit Abutments 54</p> <p>Screws (Clinical) 54</p> <p>Abutment/Retaining Screws 55</p> <p>Preload Screw Mechanics 56</p> <p>Cylinders 57</p> <p>Definitive Cylinders 57</p> <p>Interim Cylinders 57</p> <p>Drivers and Placement Instruments 58</p> <p>Drivers/Driver Tips 58</p> <p>Laboratory Components 60</p> <p>Implant Analogs/Replicas 61</p> <p>Abutment Analogs/Replicas 62</p> <p>Try-In Screws 63</p> <p>Abutment Holders 63</p> <p>Polishing Protectors 64</p> <p>Bibliography 65</p> <p><b>3 Diagnosis and Treatment Planning in Implant Restorative Dentistry </b><b>69</b></p> <p>Patient Selection 69</p> <p>Medical History 69</p> <p>Diagnostic Procedures 70</p> <p>Radiographs 70</p> <p>CBCT (Cone Beam Computed Tomography) Scans 72</p> <p>Scanning Appliances/Surgical Guides 74</p> <p>Diagnostic Casts 75</p> <p>Laboratory-Generated Surgical Guides 75</p> <p>Physical Examination 78</p> <p>Extraoral Examination 78</p> <p>Intraoral Examination 78</p> <p>Diagnostic Articulator Mounting 79</p> <p>Diagnostic Wax Patterns 79</p> <p>Implant Bone Volume 80</p> <p>Implant Restorative Volume 83</p> <p>Treatment Planning 85</p> <p>Edentulous Patients 86</p> <p>Overdentures 87</p> <p>Restorative Volume 87</p> <p>Fixed Implant-Retained, Full-Arch Prostheses-Edentulous Jaws 89</p> <p>Milled Titanium Frameworks 92</p> <p>Milled Zirconia Frameworks 94</p> <p>High-Performance Polymers (HPP) 95</p> <p>Crown-and-Bridge Type Prostheses 95</p> <p>Partially Edentulous Patients 96</p> <p>Screw-Retained Restorations 96</p> <p>Treatment Goals 96</p> <p>Benefits 96</p> <p>Limitations 97</p> <p>Cement-Retained Restorations 98</p> <p>Benefits 98</p> <p>Limitations 99</p> <p>Angled Screw Channel Abutments 99</p> <p>Peri-Implant Disease 99</p> <p>Implant Loading Protocols 101</p> <p>Unloaded Healing, Two-Stage Surgical Protocol 101</p> <p>Unloaded Healing, Single-Stage Surgical Protocol 102</p> <p>Early Loading 102</p> <p>Immediate Occlusal Loading 103</p> <p>Immediate Non-Occlusal Loading 103</p> <p>Patient Consultation 104</p> <p>Principles of Treatment Planning 104</p> <p>Informed Consent 104</p> <p>Summary 105</p> <p>Bibliography 105</p> <p><b>4 Treatment of Edentulous Mandibular Patients: (1) Implant-Retained Framework Overdenture and Resilient Attachments; (2) Resilient Attachments and Two Interforaminal Implants </b><b>111</b></p> <p>Literature Review 111</p> <p>Clinical Case Presentation Mandibular Implant-Supported Overdenture with CAD/CAM Framework and Resilient Attachments 117</p> <p>Clinical Case Presentation Implant-Supported Overdenture with Resilient Attachments and Two Interforaminal Implants 142</p> <p>Bibliography 156</p> <p><b>5 Replacement of Single Teeth with CAD/CAM Implant Restorations: Implant-Level Impressions, Intraoral Scanning, Cement and Screw-Retained Crowns </b><b>159</b></p> <p>Literature Review 159</p> <p>Replacement of Individual Teeth 159</p> <p>Single-Unit Implant Restorations 161</p> <p>Computer-Assisted Design/Computer-Assisted Machining (CAD/CAM) Healing Abutments/Scan Bodies 162</p> <p>Intraoral Scanning 167</p> <p>Models from Digital Impressions 169</p> <p>Clinical Case Presentation Posterior, Cement-Retained Single-Implant Restoration 170</p> <p>Clinical Case Presentation Anterior, Screw-Retained Single-Implant Restoration (Angled Screw Channel) 185</p> <p>Bibliography 197</p> <p><b>6 Fixed Dental Prostheses: Retreatment of a Patient with a Fractured Implant-Retained Fixed Dental Prosthesis; CAD/CAM Abutments and a Cement-Retained Fixed Dental Prosthesis; Intraoral Scanning and Screw-Retained Fixed Dental Prosthesis (Atlantis<sup>™</sup> Bridge Patient-Specific Suprastructures) </b><b>199</b></p> <p>Literature Review 199</p> <p>Clinical Case Presentation Implant-Level Impression/Screw-Retained Fixed Dental Prosthesis 204</p> <p>Clinical Case Presentation Intraoral Scanning/Screw-Retained Fixed Dental Prosthesis (Atlantis<sup>™</sup> Bridge Patient-Specific Suprastructure) 219</p> <p>Bibliography 235</p> <p><b>7 Accelerated Treatment Protocol of a Patient with Edentulous Jaws and CAD/CAM Titanium Framework/Fixed Hybrid Prostheses </b><b>237</b></p> <p>Literature Review 237</p> <p>Original Treatment Protocol 239</p> <p>Accelerated Treatment Protocol 242</p> <p>Clinical Case Presentation Four Months Post Implant Placement and Immediate Occlusal Loading 243</p> <p>Bibliography 275</p> <p><b>8 Treatment of Edentulous Patients with Immediate Occlusal Loading: Conventional Surgical and Computer-Generated Surgical Guides </b><b>279</b></p> <p>Literature Review 279</p> <p>Introduction 279</p> <p>The Preosseointegration Era 280</p> <p>The Osseointegration Era 281</p> <p>Immediate Occlusal Loading in the Edentulous Mandible 282</p> <p>Immediate Occlusal Loading in Edentulous Maxillae 285</p> <p>Clinical Case Presentation Mandibular Immediate Occlusal Loading with Clinical Conversion of Mandibular Immediate Denture 286</p> <p>Clinical Case Presentation Maxillary Immediate Occlusal Loading Using Computer-Generated Surgical Guide with Clinical Conversion of Maxillary Immediate Denture 312</p> <p>Bibliography 324</p> <p><b>9 Treatment of Edentulous Patients with Immediate Occlusal Loading: Conventional Surgical/Prosthetic Protocols </b><b>327</b></p> <p>Literature Review 327</p> <p>Immediate Occlusal Loading 327</p> <p>Computer-Guided Surgery 328</p> <p>Clinical Case Presentation Conventional Surgical and Restorative Protocols 332</p> <p>Bibliography 367</p> <p><b>10 Treatment of Partially Edentulous Patients with Immediate Non-Occlusal Loading Protocols (Intraoral Scanning, CAD/CAM Abutment, and Definitive Maxillary Central Incisor Restoration; Co-Axis Implant and Restoration) </b><b>371</b></p> <p>Literature Review 371</p> <p>Clinical Case Presentation INOL Protocol and Intraoral Scanning 375</p> <p>Clinical Case Presentation INOL Protocol with Co-Axis Implant 396</p> <p>Bibliography 408</p> <p><b>11 Computed Tomography (CT) Guided Surgery/Immediate Occlusal Loading with Full-Arch Prostheses in Edentulous Patients </b><b>411</b></p> <p>Literature Review 411</p> <p>Immediate Occlusal Loading 411</p> <p>Tilted Implants 412</p> <p>Diagnostic Imaging 413</p> <p>Computed Tomography (CT) 415</p> <p>Interactive Computed Tomography (ICT) 417</p> <p>Interactive Computer Software 418</p> <p>Computer-Guided Surgery 418</p> <p>Overview of CT Guided Surgical and Prosthetic Protocols 419</p> <p>Surgical Guides 419</p> <p>Master Tubes 419</p> <p>Prosthetic Laboratory Kit-Implant Analog Mounts 420</p> <p>Surgical Kit Components 420</p> <p>Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis 421</p> <p>Abutment Selection for Fixed, Screw-Retained Provisional Prostheses 422</p> <p>Fabrication of a Screw-Retained Provisional Prosthesis 424</p> <p>Clinical Patient Presentation Ill-Fitting Maxillary Denture; Mandibular Implant-Supported Overdenture 425</p> <p>Clinical Patient Presentation Maxillary and Mandibular Terminal Dentitions; Computer-Guided Surgery with Metal Surgical Guides 448</p> <p>Bibliography 463</p> <p><b>12 Guidelines and Maintenance Procedures for Fixed, Full-Arch, Implant-Retained Prostheses </b><b>465</b></p> <p>Introduction 465</p> <p>Full-Arch Hybrid Prostheses 465</p> <p>Historical Perspectives 466</p> <p>Original Protocol 466</p> <p>Immediate Occlusal Loading for Full-Arch Prostheses 466</p> <p>Clinical Complications 467</p> <p>Mechanical 467</p> <p>Biologic: Peri-Implant Mucositis/Peri-Implantitis 470</p> <p>Treatment (Peri-Implant Mucositis) 472</p> <p>Treatment (Peri-Implantitis) 473</p> <p>Innovations in Full-Arch Designs 475</p> <p>Prosthesis Design/Materials 476</p> <p>Hygiene/Maintenance Protocol for Immediately Loaded Full-Arch Prostheses 477</p> <p>Hygiene/Maintenance Protocol for Definitive Full-Arch Prostheses 478</p> <p>At-Home Hygiene 478</p> <p>Plaque Control–Dentifrice 478</p> <p>Plaque Control–Mechanical 478</p> <p>Recall Appointments 479</p> <p>Recall Interval/Schedule 479</p> <p>Examination 480</p> <p>Radiographs 481</p> <p>Professional Maintenance 485</p> <p>Prosthesis Removal 487</p> <p>Cleaning the Removed Prosthesis 488</p> <p>Conclusions 488</p> <p>Bibliography 488</p> <p>Index 493</p>
<p><b>The Author</b> <p><b>Carl Drago,</b> DDS, MS, Diplomate of the American Board of Prosthodontics (ABP), is in private practice near Milwaukee, Wisconsin, USA; is a section editor for the Journal of Prosthodontics; and is an adjunct associate professor at the Marquette University School of Dentistry in Milwaukee, Wisconsin, USA.
<p><b>Presents the latest information on restoring dental implants, addressing new advances in treatment planning and procedures</b> <p>The fourth edition of <i>Implant Restorations: A Step-by-Step Guide</i> provides a wealth of updated and expanded coverage on detailed procedures for restoring dental implants. Focusing on the most common treatment scenarios, it offers concise literature reviews for each chapter and easy-to-follow descriptions of the techniques, along with high-quality clinical photographs demonstrating each step. <p>Comprehensive throughout, this practical guide begins with introductory information on incorporating implant restorative dentistry in clinical practice. It covers diagnosis and treatment planning and digital dentistry, and addresses advances in cone beam computerized tomography (CBCT), treatment planning software, computer generated surgical guides, rapid prototype printing and impression-less implant restorative treatments, intra-oral scanning, laser sintering, and printing/milling polymer materials. Record-keeping, patient compliance, hygiene regimes, and follow-up are also covered. <ul> <li>Provides an accessible step-by-step guide to commonly encountered treatment scenarios, describing procedures and techniques in an easy-to-follow, highly illustrated format</li> <li>Offers new chapters on diagnosis and treatment planning and digital dentistry</li> <li>Covers advances in cone beam computerized tomography (CBCT), computer generated surgical guides, intra-oral scanning, laser sintering, and more</li> </ul> <p>An excellent and accessible guide on a burgeoning subject in modern dental practice by one of its most experienced clinicians, <i>Implant Restorations: A Step-by-Step Guide, Fourth Edition</i> will appeal to prosthodontists, general dentists, implant surgeons, dental students, dental assistants, hygienists, and dental laboratory technicians.

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